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psnet.ahrq.gov/issue/engineering-system-communication-safer-surgery
January 18, 2013 - Commentary
Engineering the system of communication for safer surgery.
Citation Text:
Healey AN, Nagpal K, Moorthy K, et al. Engineering the system of communication for safer surgery. Cognition, Technology & Work. 2010;13(1). doi:10.1007/s10111-010-0152-5.
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psnet.ahrq.gov/issue/system-related-and-cognitive-errors-laboratory-medicine
December 21, 2016 - Commentary
System-related and cognitive errors in laboratory medicine.
Citation Text:
Plebani M. System-related and cognitive errors in laboratory medicine. Diagnosis (Berl). 2018;5(4):191-196. doi:10.1515/dx-2018-0085.
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psnet.ahrq.gov/issue/covid-19-focused-inspection-initiative-healthcare
April 01, 2024 - Press Release/Announcement
COVID-19 Focused Inspection Initiative in Healthcare.
Citation Text:
COVID-19 Focused Inspection Initiative in Healthcare. Occupational Safety and Health Administration. March 2, 2022.
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psnet.ahrq.gov/issue/skilful-anticipation-maternity-nurses-perspectives-maintaining-safety
February 15, 2023 - Study
Skilful anticipation: maternity nurses' perspectives on maintaining safety.
Citation Text:
Lyndon A. Skillful anticipation: maternity nurses' perspectives on maintaining safety. Qual Saf Health Care. 2010;19(5):e8. doi:10.1136/qshc.2007.024547.
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psnet.ahrq.gov/issue/safety-and-quality-perioperative-anesthesia-care
June 15, 2011 - Special or Theme Issue
Safety and Quality in Perioperative Anesthesia Care.
Citation Text:
Safety and Quality in Perioperative Anesthesia Care. Preckel B, ed. Best Pract Res Clin Anaesthesiol. 2021;35(1):1-154.
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psnet.ahrq.gov/issue/strategies-improving-clinician-psychological-safety-reporting-and-discussing-diagnostic-error
October 06, 2021 - Book/Report
Strategies for Improving Clinician Psychological Safety in Reporting and Discussing Diagnostic Error.
Citation Text:
Strategies for Improving Clinician Psychological Safety in Reporting and Discussing Diagnostic Error. Amin D, Cosby K. Rockville, MD: Agency for Healthcare Res…
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psnet.ahrq.gov/issue/benzocaine-sprays-marketed-under-different-names-including-hurricaine-topex-and-cetacaine
December 02, 2015 - Government Resource
Benzocaine sprays marketed under different names, including Hurricaine, Topex, and Cetacaine.
Citation Text:
Benzocaine sprays marketed under different names, including Hurricaine, Topex, and Cetacaine. Food and Drug Administration; FDA; CDER; Center for Drug Evaluati…
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psnet.ahrq.gov/issue/patient-safety-clinical-research-articles
June 01, 2022 - Commentary
Patient safety in clinical research articles.
Citation Text:
Vintzileos AM, Finamore PS, Sicuranza GB, et al. Patient safety in clinical research articles. Int J Gynaecol Obstet. 2013;123(2):93-5. doi:10.1016/j.ijgo.2013.05.006.
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psnet.ahrq.gov/issue/paralyzed-mistakes-reassess-safety-neuromuscular-blockers-your-facility
July 27, 2016 - Newspaper/Magazine Article
Paralyzed by mistakes: reassess the safety of neuromuscular blockers in your facility.
Citation Text:
Paralyzed by mistakes: reassess the safety of neuromuscular blockers in your facility. ISMP Medication Safety Alert! Acute Care Edition. June 16, 2016;21:1-6. …
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psnet.ahrq.gov/issue/health-it-safe-practices-closing-loop
March 10, 2021 - Toolkit
Health IT Safe Practices for Closing the Loop.
Citation Text:
Health IT Safe Practices for Closing the Loop. Partnership for Health IT Patient Safety. Plymouth Meeting, PA: ECRI; August 2018.
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psnet.ahrq.gov/issue/ottawa-hospital-patient-safety-study-incidence-and-timing-adverse-events-patients-admitted
July 13, 2010 - Study
Ottawa Hospital Patient Safety Study: incidence and timing of adverse events in patients admitted to a Canadian teaching hospital.
Citation Text:
Forster AJ, Asmis TR, Clark HD, et al. Ottawa Hospital Patient Safety Study: incidence and timing of adverse events in patients admitted…
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psnet.ahrq.gov/issue/pharmacy-student-knowledge-and-communication-medication-errors
June 24, 2009 - Study
Pharmacy student knowledge and communication of medication errors.
Citation Text:
Rickles NM, Noland CM, Tramontozzi A, et al. Pharmacy student knowledge and communication of medication errors. Am J Pharm Educ. 2010;74(4):60.
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psnet.ahrq.gov/issue/health-plan-members-views-about-disclosure-medical-errors
November 15, 2011 - Study
Classic
Health plan members' views about disclosure of medical errors.
Citation Text:
Mazor KM, Simon SR, Yood RA, et al. Health plan members' views about disclosure of medical errors. Ann Intern Med. 2004;140(6):409-18.
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psnet.ahrq.gov/issue/point-care-testing-medical-error-and-patient-safety-2007-assessment
February 01, 2017 - Review
Point-of-care testing, medical error, and patient safety: a 2007 assessment.
Citation Text:
Ehrmeyer SS, Laessig RH. Point-of-care testing, medical error, and patient safety: a 2007 assessment. Clin Chem Lab Med. 2007;45(6):766-73.
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psnet.ahrq.gov/issue/errors-stat-laboratory-changes-type-and-frequency-1996
December 21, 2016 - Study
Errors in a stat laboratory: changes in type and frequency since 1996.
Citation Text:
Carraro P, Plebani M. Errors in a stat laboratory: types and frequencies 10 years later. Clin Chem. 2007;53(7):1338-42.
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psnet.ahrq.gov/issue/drugmakers-are-abandoning-cheap-generics-and-now-us-cancer-patients-cant-get-meds
September 20, 2023 - Newspaper/Magazine Article
Drugmakers are abandoning cheap generics, and now US cancer patients can’t get meds.
Citation Text:
Drugmakers are abandoning cheap generics, and now US cancer patients can’t get meds. Allen A. KFF Health News. June 21, 2023.
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psnet.ahrq.gov/issue/importance-establishing-regimen-concordance-preventing-medication-errors-anticoagulant-care
January 02, 2017 - Study
The importance of establishing regimen concordance in preventing medication errors in anticoagulant care.
Citation Text:
Schillinger D, Wang F, Rodriguez M, et al. The importance of establishing regimen concordance in preventing medication errors in anticoagulant care. J Health C…
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psnet.ahrq.gov/issue/assessment-potential-impact-reminder-system-reduction-diagnostic-errors-quasi-experimental
April 19, 2011 - Study
Assessment of the potential impact of a reminder system on the reduction of diagnostic errors: a quasi-experimental study.
Citation Text:
Ramnarayan P, Roberts GC, Coren M, et al. Assessment of the potential impact of a reminder system on the reduction of diagnostic errors: a qua…
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psnet.ahrq.gov/issue/getting-surgery-right
February 15, 2011 - Study
Getting surgery right.
Citation Text:
Clarke JR, Johnston J, Finley ED. Getting surgery right. Ann Surg. 2007;246(3):395-403, discussion 403-5.
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psnet.ahrq.gov/issue/failure-mode-and-effect-analysis-technique-prevent-chemotherapy-errors
May 30, 2008 - Commentary
Failure mode and effect analysis: a technique to prevent chemotherapy errors.
Citation Text:
Sheridan-Leos N, Schulmeister L, Hartranft S. Failure mode and effect analysis: a technique to prevent chemotherapy errors. Clin J Oncol Nurs. 2006;10(3):393-8.
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